| Regimental number | R |
| Religion | Methodist |
| Occupation | Student |
| Address | Hodgkinson Street, Clifton Hills, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs C M Kelly, Hodgkinson Street, Clifton Hills, Victoria |
| Enlistment date | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 5th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
